Case 3
Pediatrics
- 4 days after surgery – Sternotomy
- Surgical Site complication with inflammatory signs 4 days after surgery
- Hypocoagulation
- With ciNPWT as protocol
- Negative biopsy
- In PICU
- Damaged perilesional skin
1st Approach
- Cleanse with super-oxidized purified water-based solution
- Applied Vulnamin Gel and Vulnamin Spray in the perilesional skin
- Polyurethane foam
- New treatment in 24 hours
- Cleanse with super-oxidized purified water-based solution
- Applied Vulnamin Gel and Vulnamin Spray in the perilesional skin
- Polyurethane foam
- New treatment in 24 hours
- Debridement small of the necrosis
- Small amout of exudate
- Less redness
- Perilesional skin improved
- Same treatment (24hours)
- Debridement of all necrosis
- Small amout of exudate
- Less redness
- Perilesional skin healed
- Change treatment to Vulnamin Cream (48hours)
- Start to closed by second intention after 2 treatments
- Small amout of exudate
- No inflammatory signs
- Change treatment to Vulnamin Powder with NPWT at -75mmHg (96hours)
- After 8 days of Vulnamin Powder with NPWT
- Almost closed
- Small amout of exudate
- No pain related
- Perilesional skin in good condition
Dr. Viviana Gonçalves
